Article thumbnail
Location of Repository

Breastfeeding-associated hypernatraemic dehydration

By Sónia Melo Gomes, Claudia Almeida Fernandes, Helena Ramos, Eduardo Fernandes, Manuela Santos, Odília Nascimento and António Marques Valido

Abstract

Objective: In the last few years there has been an increase in case reports of hypernatraemic dehydration in breastfed newborns. Insufficient intake has an important role in the pathophysiology of this condition. The aim of this study was to evaluate exclusively breastfed neonates admitted for hypernatraemic dehydration. Methods: Retrospective study of breastfed neonates diagnosed with hypernatraemic dehydration, between March 2002 and March 2008, in a level 1 maternity. Rresults: Nineteen cases were identified (0.44% of neonatal intermediate care hospitalizations), 53% of them were male. The annual distribution revealed a higher number of cases in 2008: 26.3% in only three months. Median birth weight was 3,000 g and the median gestational age was 38 weeks. Vaginal delivery was the most frequent form of birth (42%), and 79% of mothers were primiparas. Admissions were made through the emergency department in 68.4%. The main reasons for seeking medical attention were: poor oral intake (32%), weight loss (26%), and jaundice (26%). The median age at admission was four days. Percentage of weight loss: 6.7 to 40%, median was 11%. Dehydration signs were absent in 42% of the patients. Median Na+ values were 152 mEq/l. Jaundice was the most frequent comorbidity found (74%). Intravenous fluids were administered in 89% and acute neurological complications were found in 21%, there were no deaths. Cconclusions: Breastfeeding-associated hypernatraemic dehydration seems to be a consequence of breastfeeding difficulties in inexperienced mothers. Since many cases are paucisymptomatic, there should be a high level of suspicion, especially in those patients with jaundice

Topics: Dehydration, Hypernatremia, Infant, newborn, Breast feeding, Medicine, R
Publisher: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Year: 2009
OAI identifier: oai:doaj.org/article:3f53d8d60053406cb9a83d13b4c68873
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/1679-4508 (external link)
  • https://doaj.org/toc/1679-4508 (external link)
  • http://apps.einstein.br/revist... (external link)
  • http://apps.einstein.br/revist... (external link)
  • https://doaj.org/article/3f53d... (external link)
  • https://doaj.org/article/3f53d... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.